Individual
MR. GEORGE RADER DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.C.
Contact information
Practice address
136 NAKAI OVI, FLAGSTAFF, AZ 86001-9644
(928) 525-9648
Mailing address
136 NAKAI OVI, FLAGSTAFF, AZ 86001-9644
(928) 525-9648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-0121
AZ
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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